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2�t� �- ''��rT <br />1428 75th SI SE <br />PROJECT ADDRESS <br />I Scott Gngg <br />� Owner <br />Tenant <br />MM Com(ort : <br />Eied cal Contrador <br />0 <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF �VERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.ora <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />1428 751h St SE <br />A7a�l AdCmss <br />Mail Atldress <br />Everetl <br />cm <br />C�ry <br />ms Inc. 18103 NE 68th St Redmond <br />Mad AdO�ess C�ry <br />/O - ,� ,Y -�'/ <br />[-� hj/�/�f'-D.�� <br />WA 98203 <br />State2p <br />SlatefZ�p <br />WA 98052 <br />Slate/2ip <br />425 743 �1943 <br />Phone <br />PhonC <br />425 881 7920 <br />PhOne <br />MMCOMMC925C5 50 00 <br />State L�cense Number Conlrad Pnx of Work <br />Cf21 OfBGCh <br />Proposed Use of Owldmg Contad Person (Plan Review) <br />Descnpuon ol Work lo Be Done Install low voltage wue for Ihermostat Homeowner install electncal dreuds for air handler <br />himsclf <br />NOTE WIRINC IN NON�DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAI SALES TAX CODE IS J105 <br />1 hereby corhly fhel 1 heve rr,a�, anAerammed Ihis npphcafion and k�ow fhe same (o bc lnio and <br />corrocf All pmvisrons ollaws and ordmances goveming tbis type of work wdl bn complefed <br />whefher specdied hem�n or nof. 1 he gn. nhng ol a permd does nof resume fo give aufhonty (o <br />wolafe or cancel the p�vaions ol any ofher stafe or local law reguPhng consfruchon oi fhe <br />pednrmance o/ conslruchon Tbnf I am eufhonled by fhe owner ol fhrs property ro peAorm fhe <br />wor� lo� which apphcahon is made and 1 compty wdh fhe Sfafe Contracfors Law 18 27 RCW and <br />296 Z00 WAC <br />10-20-14 <br />S�g ture Date <br />FEE <br />I r UU <br />':J <br />��I�10- �3g <br />